CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Overlook Medical Center

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$10,892
about 1.9× the $5,676 Medicare rate · typically $7,063–$21,332
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,275
Above the fair price
about $7,383 over the fair price · 3.2× Medicare
Medicare pays $5,676 Fair price $10,892 This hospital $18,275 Cash price $9,761 Hospital's list price $48,602

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $6,120 Priciest $18,275

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $10,892 (about 1.9× the $5,676 Medicare rate). Overlook Medical Center charges insurers about $18,275, or about $9,761 in cash — above the fair price. Located in Summit, NJ.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $10,892. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $20,344 - $20,974 358%
Blue Cross Blue Shieldmajor $1,969 - $19,432 35%
Aetnamajor $6,395 - $19,544 113%
Cignamajor $7,106 - $20,103 125%
Humanamajor $17,769 313%
Ambetter (Centene) $16,086 283%
AmeriHealth $7,248 128%
GEHA $20,974 370%
Harvard Pilgrim $20,974 370%
Health Net $8,682 - $19,544 153%
MVP Health Care $18,275 322%
Oscar Health $17,769 313%
Tufts Health Plan $18,275 322%
UPMC Health Plan $7,816 138%
WellCare $7,603 134%
+ 37 smaller / regional plans $5,896 - $20,974
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 99 Beauvoir Avenue, Summit, NJ 07901
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals